Medical record keeping
Real-time, resident-specific medication information and alerts, with support from a medication safety team, enhanced the efficiency of medication administration and reduce medication errors.
Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside, allowing nurses to be more efficient and spend more time with patients, reducing falls and nurse turnover, accelerating patient discharge, and yielding positive feedback from staff and patients.
Integrated primary care teams in medical home clinics, supported by a Web-based portal and personal health records, provide proactive, coordinated care, leading to higher screening rates, better access to care, and improved patient–provider communication.
Primary care clinic nurses routinely assess the risk of falls in each patient, with real-time, easy-to-use clinical reminders sent to physicians for those at risk, thus allowing the initiation of risk-reduction interventions during the visit.
Intensivists guide care around the clock in two medical–surgical intensive care units, leading to lower length of stay and the near elimination of ventilator-associated pneumonia, hospital-acquired pressure ulcers, and central line infections.
An information exchange system enabled clinicians serving Medicaid beneficiaries to immediately access patient-specific hospital discharge, laboratory test, and medication data from other providers, leading to enhanced efficiency and safety and lower costs.
Dartmouth-Hitchcock Medical Center used standardized order forms for diagnostic tests and timely antibiotic administration, reminders on existing admissions/discharge forms for vaccine administration and smoking cessation counseling, and prompt provider feedback to improve adherence to recommended care for patients with community-acquired pneumonia according to The Joint Commission/Centers for Medicare & Medicaid Services Pneumonia Core Measure Set.
New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.
Parents of overweight children completed a workbook, attended two discussion groups, and received up to 10 recorded, interactive phone messages promoting a healthy diet and physical activity, leading to a marked reduction in their children's body mass index.
Asthma educators help patients, providers, school nurses, childcare providers, pharmacists, and others in the community achieve optimal asthma treatment, leading to fewer hospitalizations, emergency department visits, and missed work days.